BEVERLY RADIOLOGY MEDICAL GROUP III
NPI: 1366766180
· BURBANK, CA 91505
· 2085R0202X
$373K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,538 |
$4K |
| 2019 |
1,510 |
$39K |
| 2020 |
1,124 |
$26K |
| 2021 |
1,264 |
$33K |
| 2022 |
1,224 |
$22K |
| 2023 |
4,017 |
$102K |
| 2024 |
3,068 |
$148K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
|
5,720 |
5,697 |
$203K |
| 77063 |
|
2,599 |
2,579 |
$65K |
| 76642 |
|
2,119 |
2,062 |
$37K |
| 77066 |
Tomosynthesis, mammo |
646 |
643 |
$26K |
| 77065 |
Tomosynthesis, mammo |
394 |
384 |
$13K |
| 76641 |
|
92 |
82 |
$6K |
| 77080 |
|
504 |
503 |
$6K |
| 76700 |
|
298 |
298 |
$5K |
| 76830 |
|
231 |
231 |
$3K |
| 76856 |
|
276 |
276 |
$3K |
| 77062 |
|
125 |
125 |
$3K |
| 76536 |
|
68 |
68 |
$594.42 |
| G0279 |
Tomosynthesis, mammo |
30 |
27 |
$567.61 |
| 71046 |
|
173 |
173 |
$467.16 |
| 73721 |
|
25 |
22 |
$393.84 |
| 73630 |
|
45 |
39 |
$217.98 |
| 73221 |
|
15 |
15 |
$197.26 |
| 73562 |
|
75 |
49 |
$187.04 |
| 72110 |
|
25 |
25 |
$175.40 |
| 76770 |
|
25 |
25 |
$161.44 |
| 73030 |
|
42 |
35 |
$129.30 |
| 71250 |
|
14 |
14 |
$127.32 |
| 73110 |
|
15 |
14 |
$100.56 |
| 73130 |
|
18 |
15 |
$75.42 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
56 |
56 |
$10.80 |
| 72100 |
|
14 |
14 |
$0.00 |
| 77061 |
|
16 |
16 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
30 |
30 |
$0.00 |
| 74177 |
|
14 |
14 |
$0.00 |
| 72040 |
|
14 |
14 |
$0.00 |
| 72148 |
|
27 |
27 |
$0.00 |